|
Block plantar digital nerve
|
$612.51 |
$612.51 |
$612.51 |
$501.85
|
|
Block tap inj(s) w/wo img bi
|
$2,362.32 |
$2,362.32 |
$2,362.32 |
$1,413.50
|
|
Block tap inj(s) w/wo img uni
|
$306.51 |
$306.51 |
$306.51 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$25.50 |
$25.50 |
$25.50 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$37.74 |
$37.74 |
$37.74 |
$73.15
|
|
Blood Count (CBC) Test
|
$49.98 |
$49.98 |
$49.98 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$41.31 |
$41.31 |
$41.31 |
$62.15
|
|
Blood Culture Test
|
$85.68 |
$85.68 |
$85.68 |
$145.60
|
|
Blood draw capillary 36416
|
$13.77 |
$13.77 |
$13.77 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$413.10 |
$413.10 |
$413.10 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$52.02 |
$52.02 |
$52.02 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$63.75 |
$63.75 |
$63.75 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$28.05 |
$28.05 |
$28.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$52.02 |
$52.02 |
$52.02 |
$33.85
|
|
Blood smear interpretation
|
$35.70 |
$35.70 |
$35.70 |
$79.20
|
|
Blood typing abo
|
$55.08 |
$55.08 |
$55.08 |
$83.03
|
|
Blood typing ag donor ea ag
|
$33.15 |
$33.15 |
$33.15 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$33.15 |
$33.15 |
$33.15 |
$181.74
|
|
Blood typing rh (d)
|
$62.73 |
$62.73 |
$62.73 |
$57.10
|
|
Bone biopsy open superficial
|
$3,327.24 |
$3,327.24 |
$3,327.24 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$547.74 |
$547.74 |
$547.74 |
$395.00
|
|
Bone filler cerament 10cc
|
$11,000.80 |
$11,000.80 |
$11,000.80 |
$12,912.37
|
|
Bone marrow;aspiration only 38220
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,881.00
|
|
Boot j walker l
|
$69.36 |
$69.36 |
$69.36 |
$179.93
|
|
Boot mlti podous univ xlg
|
$157.52 |
$157.52 |
$157.52 |
$256.95
|
|
Boot walker genesis full shell 3-strap s
|
$561.02 |
$561.02 |
$561.02 |
$507.57
|
|
Boot walker genesis mid-calf full shell s
|
$212.93 |
$212.93 |
$212.93 |
$194.34
|
|
Brace afo lg left 6607
|
$501.95 |
$501.95 |
$501.95 |
$480.16
|
|
Brace afopos solid ankle cust
|
$1,121.03 |
$1,121.03 |
$1,121.03 |
$1,189.90
|
|
Brace ank air stirrup univ
|
$87.41 |
$87.41 |
$87.41 |
$76.50
|
|
Brace ankle stablizing lg
|
$56.73 |
$56.73 |
$56.73 |
$88.64
|
|
Brace back pinnacle lo 627 lumbar
|
$867.82 |
$867.82 |
$867.82 |
$890.52
|
|
Brace back pinnacle tlso 464
|
$2,710.11 |
$2,710.11 |
$2,710.11 |
$2,901.32
|
|
Brace back t-lso custom
|
$3,206.58 |
$3,206.58 |
$3,206.58 |
$3,570.57
|
|
Brace cust back lso
|
$490.88 |
$490.88 |
$490.88 |
$758.94
|
|
Brace fx hum ovr shldr sm
|
$639.64 |
$639.64 |
$639.64 |
$643.45
|
|
Brace knee extender plus 22-30in
|
$314.33 |
$314.33 |
$314.33 |
$414.17
|
|
Brace knee playmaker ii x-rom hook and loop xl
|
$198.43 |
$198.43 |
$198.43 |
$268.92
|
|
Brace knee support neoprene padded open patella med
|
$275.34 |
$275.34 |
$275.34 |
$261.05
|
|
Brace ortho exos 28-50in sm
|
$518.93 |
$518.93 |
$518.93 |
$822.07
|
|
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr
|
$1,956.50 |
$1,956.50 |
$1,956.50 |
$1,957.91
|
|
Brace oths wrist hnd fngr without
|
$293.48 |
$293.48 |
$293.48 |
$237.83
|
|
Brace wrist classic lft sm
|
$35.80 |
$35.80 |
$35.80 |
$75.66
|
|
Brachy source palladium
|
$176.72 |
$176.72 |
$176.72 |
$110.25
|
|
Brachy source yttrium-90
|
$26,569.22 |
$26,569.22 |
$26,569.22 |
$33,054.19
|
|
Brachy src nonstrand c-131
|
$252.45 |
$252.45 |
$252.45 |
$241.20
|
|
Brachy src stranded c-131
|
$269.28 |
$269.28 |
$269.28 |
$210.96
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,895.27 |
$2,895.27 |
$2,895.27 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,505.12 |
$2,505.12 |
$2,505.12 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,730.43 |
$1,730.43 |
$1,730.43 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$3,564.39 |
$3,564.39 |
$3,564.39 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,564.39 |
$3,564.39 |
$3,564.39 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$1,949.38
|
|
Bra surgical elizabeth pink sm
|
$168.30 |
$168.30 |
$168.30 |
$131.85
|
|
Breast punct aspir cyst, bil
|
$797.64 |
$797.64 |
$797.64 |
$865.26
|
|
Bronchoscopy clear airways 31645
|
$2,755.53 |
$2,755.53 |
$2,755.53 |
$2,672.16
|
|
Bronchoscopy w/fb removal 31635
|
$2,755.53 |
$2,755.53 |
$2,755.53 |
$2,672.16
|
|
Bronch w/debrdmt subgltc & uppr trach
|
$269.79 |
$269.79 |
$269.79 |
$318.05
|
|
Budesonide non-comp unit
|
$27.35 |
$27.35 |
$27.35 |
$27.35
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$39.43
|
|
Bundled special stain group 1 microorganisms
|
$100.98 |
$100.98 |
$100.98 |
$165.10
|
|
Bundled special stain group 2
|
$64.26 |
$64.26 |
$64.26 |
$169.00
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$84.15 |
$84.15 |
$84.15 |
$39.23
|
|
Buprenorphine oral 1mg
|
$10.74 |
$10.74 |
$10.74 |
$11.24
|
|
Burr hole implant ventricular cath/other device
|
$3,478.20 |
$3,478.20 |
$3,478.20 |
$2,964.65
|
|
Burr hole skull & remove clot 61154
|
$10,755.39 |
$10,755.39 |
$10,755.39 |
$4,225.86
|
|
Bur rotalink 2.15mm
|
$6,158.00 |
$6,158.00 |
$6,158.00 |
$7,201.94
|
|
Bx/curett of cervix w/scope 57454
|
$997.05 |
$997.05 |
$997.05 |
$576.00
|
|
Bx of cervix w/scope leep 57460
|
$542.64 |
$542.64 |
$542.64 |
$3,762.53
|
|
Bx perianal mass
|
$1,483.08 |
$1,483.08 |
$1,483.08 |
$1,415.32
|
|
Bx skin incisnl ea sep/add l les
|
$755.82 |
$755.82 |
$755.82 |
$271.95
|
|
Bx skin punch ea sep/ addl les
|
$235.11 |
$235.11 |
$235.11 |
$227.13
|
|
Bx skin tangential ea sep/ addl les
|
$203.49 |
$203.49 |
$203.49 |
$206.55
|
|
Bx vag mucos smpl (sep proc)
|
$119.34 |
$119.34 |
$119.34 |
$1,266.48
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,700.34 |
$1,700.34 |
$1,700.34 |
$1,155.36
|
|
Bx vulva or perineum/ea add lesion 56606
|
$850.17 |
$850.17 |
$850.17 |
$465.09
|
|
Bypass temp external fem-fem
|
$602.82 |
$602.82 |
$602.82 |
$1,938.60
|
|
Cable cath 22-pin diag
|
$5,533.50 |
$5,533.50 |
$5,533.50 |
$4,518.81
|
|
Cable centrimag pressure
|
$7,906.73 |
$7,906.73 |
$7,906.73 |
$10,306.02
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,459.58 |
$1,459.58 |
$1,459.58 |
$2,802.31
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$60.04
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$145.35 |
$145.35 |
$145.35 |
$91.04
|
|
Calcium ionized
|
$97.41 |
$97.41 |
$97.41 |
$88.40
|
|
Calcium total
|
$42.33 |
$42.33 |
$42.33 |
$48.75
|
|
Cannula ercp contour 5-4-3 tip
|
$227,587.50 |
$227,587.50 |
$227,587.50 |
$51,677.49
|
|
Canthotomy 67715
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$3,228.00
|
|
Cap nerve 2x15mm
|
$37,256.36 |
$37,256.36 |
$37,256.36 |
$24,217.08
|
|
Cap trach decann 15mm
|
$4,443.12 |
$4,443.12 |
$4,443.12 |
$3,973.20
|
|
Carbamazepine total therapeutic drug level
|
$139.23 |
$139.23 |
$139.23 |
$117.74
|
|
Carbon dioxide
|
$40.29 |
$40.29 |
$40.29 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$420.10 |
$420.10 |
$420.10 |
$482.27
|
|
Carboxyhemoglobin quantitative
|
$90.27 |
$90.27 |
$90.27 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$151.98 |
$151.98 |
$151.98 |
$146.25
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,366.91 |
$2,366.91 |
$2,366.91 |
$1,519.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$508.98 |
$508.98 |
$508.98 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$2,208.81 |
$2,208.81 |
$2,208.81 |
$3,639.36
|
|
Ca screen;flexi sigmoidscope
|
$229.50 |
$229.50 |
$229.50 |
$1,078.88
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$1,065.90 |
$1,065.90 |
$1,065.90 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$6,007.80 |
$6,007.80 |
$6,007.80 |
$6,190.10
|
